Evidence map›Paper›PMID 25709152›Full record

ArticleActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2014

Hyoid myotomy without suspension: a surgical approach to obstructive sleep apnoea syndrome.

E Scarano, G Della Marca, E De Corso, S Dittoni, W Di Nardo, D Meucci, G Bastanza, R Gallus, A Losurdo, E Testani and 1 more

Open access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Efficacy and long-term follow-up of positional therapy by vibrotactile neck-based device in the management of positional OSA.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Article
  2. Moderate OSAS and turbinate decongestion: surgical efficacy in improving the quality of life and compliance of CPAP using Epworth score and SNOT-20 score.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2018
    Article
  3. The role of masseter muscle EMG during DISE to predict the effectiveness of MAD: preliminary results.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2016
    Article
  4. A comparative study on oxidative stress role in nasal breathing impairment and obstructive sleep apnoea syndrome.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2016
    Article
  5. Oxidative stress in patients with obstructive sleep apnoea syndrome.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2015
    Review
  6. Drug-induced sleep endoscopy as a selection tool for mandibular advancement therapy by oral device in patients with mild to moderate obstructive sleep apnoea.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

E ScaranoInstitute of Otorhinolaryngology, Catholic University Rome, Italy;
G Della MarcaDepartment of Neurosciences, Catholic University Rome, Italy.
E De CorsoInstitute of Otorhinolaryngology, Catholic University Rome, Italy;
S DittoniInstitute of Otorhinolaryngology, Catholic University Rome, Italy;
W Di NardoInstitute of Otorhinolaryngology, Catholic University Rome, Italy;
D MeucciInstitute of Otorhinolaryngology, Catholic University Rome, Italy;
G BastanzaInstitute of Otorhinolaryngology, Catholic University Rome, Italy;
R GallusInstitute of Otorhinolaryngology, Catholic University Rome, Italy;
A LosurdoDepartment of Neurosciences, Catholic University Rome, Italy.
E TestaniDepartment of Neurosciences, Catholic University Rome, Italy.
G PaludettiInstitute of Otorhinolaryngology, Catholic University Rome, Italy;
Università Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to verify if hyoid myotomy without hyoid suspension is effective in surgical treatment of obstructive sleep apnoea syndrome (OSAS). We recruited six patients with OSAS, aged between 34 to 60 years, with retropalatal and retrolingual upper airway obstruction, non-obese (BMI < 27) and non-compliant to continuous positive airway pressure therapy. Pre-surgical clinical and instrumental evaluations included clinical examination, cephalometry, polysomnography (PSG) and sleep endoscopy. Surgical treatment included nasal surgery, uvulopalatopharyngoplasty, tonsillectomy and hyoid myotomy without hyoid suspension. Follow-up evaluations were performed with serial PSGs, performed early (one week after surgery), and at 1, 6 and 18 months after surgery. We observed that surgery was followed by immediate normalisation of breathing parameters evaluated by PSG that persisted after 18 months. Thus, hyoid myotomy without suspension combined with nasal and palatal surgery may be considered a valid treatment of non-obese OSAS patients with retrolingual and retropalatal collapse. Furthermore, we suggest that hyoid bone suspension, binding it to mandibular or to thyroid cartilage, might be unnecessary in selected cases.

Indexed as

AdultFemaleHumansHyoid BoneMaleMiddle AgedMuscle, SkeletalOtorhinolaryngologic Surgical ProceduresPolysomnographySleep Apnea, ObstructiveHyoid myotomyObstructive sleep apnoea syndromeSub-hyoid musclesUvulopalatopharyngoplasty

Identifiers

PMID25709152
PMCPMC4299162
OpenAlexW2343271312

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.